Safety and efficacy of topiramate in neonates with hypoxic ischemic encephalopathy treated with hypothermia (NeoNATI) 英文参考文献.docVIP
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Safety and efficacy of topiramate in neonates with hypoxic ischemic encephalopathy treated with hypothermia (NeoNATI) 英文参考文献
Filippietal.BMCPediatrics2012,12:144
/1471-2431/12/144
STUDY PROTOCOL
OpenAccess
Safetyandefficacyoftopiramateinneonates
withhypoxicischemicencephalopathytreated
withhypothermia(NeoNATI)
LucaFilippi1*,PatrizioFiorini1,MartaDaniotti1,SerenaCatarzi1,SaraSavelli2,ClaudioFonda2,LauraBartalena3,
AntonioBoldrini3,MatteoGiampietri3,RosaScaramuzzo4,PaolaPapoff5,FrancescaDelBalzo5,AlbertoSpalice6,
GiancarlolaMarca7,8,SabrinaMalvagia8,MariaLuisaDellaBona8,GianpaoloDonzelli9,FrancescaTinelli10,
GiovanniCioni10,TizianaPisano11,MelaniaFalchi11andRenzoGuerrini11
Abstract
Background:Despiteprogressesinneonatalcare,themortalityandtheincidenceofneuro-motordisabilityafter
perinatalasphyxiahavefailedtoshowsubstantialimprovements.Incountrieswithahighlevelofperinatalcare,the
incidenceofasphyxiaresponsibleformoderateorsevereencephalopathyisstill2–3per1000termnewborns.
Recenttrialshavedemonstratedthatmoderatehypothermia,startedwithin6hoursafterbirthandprotractedfor
72hours,cansignificantlyimprovesurvivalandreduceneurologicimpairmentinneonateswithhypoxic-ischemic
encephalopathy.Itisnotcurrentlyknownwhetherneuroprotectivedrugscanfurtherimprovethebeneficialeffects
ofhypothermia.Topiramatehasbeenproventoreducebraininjuryinanimalmodelsofneonatalhypoxicischemic
encephalopathy.However,theassociationofmildhypothermiaandtopiramatetreatmenthasneverbeenstudied
inhumannewborns.Theobjectiveofthisresearchprojectistoevaluate,throughamulticenterrandomized
controlledtrial,whethertheefficacyofmoderatehypothermiacanbeincreasedbyconcomitanttopiramate
treatment.
Methods/Design:Termnewborns(gestationalage≥36weeksandbirthweight≥1800g)withprecocious
metabolic,clinicalandelectroencephalographic(EEG)signsofhypoxic-ischemicencephalopathywillbe
randomized,accordingtotheirEEGpattern,toreceivetopiramateaddedtostandardtreatmentwithmoderate
hypothermiaorstandardtreatmentalone.Topiramatewillbeadministeredat10mg/kgonceadayforthefirst
3daysoflife.Topiramateconcentrationswillbemeasuredonserialdriedbloodspots.64participant
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